Be an early applicantLess than 25 applicants

Company

Humana · 2 days ago

Provider Contracting Executive

Michigan, United States

Full-time

Remote

Senior Level

$93K/yr - $128K/yr

5+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

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Responsibilities

Initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements.

Communicates contract terms, payment structures, and reimbursement rates to providers.

Analyzes financial impact of contracts and terms.

Maintains contracts and documentation within a tracking system.

Assists with identifying and recruiting providers based on network composition and needs.

Advises executives to develop functional strategies on matters of significance.

Exercises independent judgment and decision making on complex issues regarding job duties and related tasks.

Works under minimal supervision.

Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Network management experienceProvider contracting skillsFinancial analysisProject leadership experienceMicrosoft Office applicationsMedicaid knowledgeACO/Risk Contracting experienceValue Based Contracting experience

Required

5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company

2 or more years of project leadership experience

Extensive provider contracting skills, including contract preparation and implementation, financial analysis and rate proposal development

Excellent written and verbal communication skills and experience presenting to varied audiences

Ability to manage multiple priorities in a fast-paced environment

Knowledge of Microsoft Office applications

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred

Bachelor’s or Master's Degree

Knowledge of Ohio Medicaid

Experience with ACO/Risk Contracting

Experience with Value Based Contracting

Benefits

Medical

Dental and vision benefits

401(k) retirement savings plan

Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)

Short-term and long-term disability

Life insurance

Company

Humana

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10,001+ employees

http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)